Tunthanathip et al reported indications for cerebrovascular imaging studies following severe head injury. These can help to identify a patient who may have an occult cerebrovascular injury. The authors are from Prince of Songkla University in Thailand.

Cerebrovascular imaging studies: digital subtraction angiography and/or CT angiography


Indications for cerebrovascular imaging studies:

(1) neurological symptoms not explained by traumatic brain injury alone

(2) late-onset exacerbation of clinical symptoms or changes in CT imaging that cannot be explained by primary injury alone

(3) thick, diffuse subarachnoid hemorrhage

(4) severe localized subarachnoid hemorrhage

(5) subdural hematoma

(6) injury to the cervical spine

(7) basilar skull fracture

(8) orbitofacial injury (fracture of facial bones or orbit)

(9) severe, untreatable bleeding from the mouth, nose or ears

(10) penetrating mechanism

(11) cerebral contusion

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